Research output: Contribution to journal › Article › peer-review
Juliana Onwumere, Sarah Grice, Elizabeth Kuipers
Original language | English |
---|---|
Pages (from-to) | 52-61 |
Number of pages | 10 |
Journal | AUSTRALIAN PSYCHOLOGIST |
Volume | 51 |
Issue number | 1 |
Early online date | 20 Jan 2016 |
DOIs | |
Accepted/In press | 29 Aug 2015 |
E-pub ahead of print | 20 Jan 2016 |
Published | 1 Feb 2016 |
Additional links |
Onwumere_et_al-2016-Australian_Psychologist
Onwumere_et_al_2016_Australian_Psychologist.pdf, 186 KB, application/pdf
Uploaded date:03 Mar 2016
Version:Final published version
Licence:CC BY
Background: In 1993, Kavanagh and colleagues outlined outcomes from a training programme designed to equip mental health practitioners to deliver evidence-based cognitive-behavioural family interventions within routine care. The authors highlighted how the training had not been able to deliver notable increases in the numbers of families being seen by the trained clinicians. There were significant issues in the translation and provision of family interventions within clinical settings, specifically difficulties with the integration of family interventions and caseload demands, and insufficient time within job plans and service settings to undertake the work. The authors posed the question: what can the matter be? Interestingly, the same question was being asked over a decade later. Objective: The current article provides a narrative review of the issues on implementation of family interventions in psychosis. Results: Current evidence suggests that while there exist pockets of good practice and provision for family interventions, it was a mistake to assume that care coordinators would be able to include these family interventions as part of their role, effectively to add duties without significant modification to their current roles and duties. It also seems to have been an underestimate of the skills required for delivering family work in psychosis and the ongoing requirements for high-quality supervision. Conclusion: We argue for carer specialists to be involved in mental health teams, particularly early intervention teams, and for a triage system to offer families a range of evidence-based support, as well as family interventions for more complex problems and presentations.
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